Nystrom, Joseph W

Nystrom, Joseph W is an individual health care provider with primary practice located at 7213 Green Slope Dr , Zephyrhills FL 33541-1306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nystrom, Joseph W can be contacted via phone (813) 355-4914.

Contact Information

Primary practice address
7213 Green Slope Dr Zephyrhills FL 33541-1306
Phone: (813) 355-4914
Fax: (855) 547-5415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME69859 Florida

Profile Details

NPI number 1629006127
LBN Legal business name Nystrom, Joseph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629006127 NPPES
Other 080150384 RAILROAD MEDICARE
MEDICAID 379238200 RAILROAD MEDICARE
Other 28412 RAILROAD MEDICARE

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